Adverse drug reactions in a population of hospitalized very elderly patients

Tangiisuran, Balamurugan, Davies, J Graham, Wright, Juliet E and Rajkumar, Chakravarthi (2012) Adverse drug reactions in a population of hospitalized very elderly patients. Drugs & Aging, 29 (8). pp. 669-679. ISSN 1170-229X

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Abstract

OBJECTIVES

The aims of the study were to determine the rates, types, severity and preventability of adverse drug reactions (ADRs) in a hospitalized population of very elderly patients (over 80 years of age) and to identify factors that predispose the very elderly to an ADR.

METHODS

An observational study was conducted in patients over 80 years of age admitted to four care of the elderly wards in Brighton and Sussex University Hospitals NHS Trust. The main outcome measures were the incidence of ADRs during inpatient stay in older patients and the identification of the major drug classes involved and the risk factors contributing to the occurrence of ADRs.

RESULTS

A total of 560 very elderly patients were recruited, 74 of whom experienced one or more ADR (83 in total), representing an incidence of 13.2% (95% CI 10.4, 16). Sixty-three percent of all ADRs were considered preventable, with 57 classified as serious and three as life threatening. The drug classes frequently implicated in ADRs were cardiovascular agents (34%), analgesic medications (18%) and anti-diabetic drugs (10%). Five variables were established as independent predictors of ADRs: number of medications, use of hypoglycaemic agents, history of hyperlipidaemia, raised white cell count on admission, and length of stay.

CONCLUSIONS

The ADR incidence reported in this population was no greater than that seen in other studies for both general medical patients and those elderly patients over 65 years of age. A significant proportion of ADRs were preventable, and this suggests that closer monitoring of high-risk elderly patients is needed to address this problem.

Item Type: Article
Additional Information: Impact Factor:2.671
Schools and Departments: Brighton and Sussex Medical School > Clinical and Experimental Medicine
Brighton and Sussex Medical School > Division of Medical Education
Subjects: R Medicine > RC Internal medicine > RC0581 Specialties of internal medicine > RC0952 Geriatrics
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Depositing User: Simone Breckell
Date Deposited: 14 Nov 2012 14:09
Last Modified: 25 Sep 2017 11:18
URI: http://sro.sussex.ac.uk/id/eprint/41919
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